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Define ‘a While’: How Long Will a Bipolar Manic Episode Last?
<!DOCTYPE html><html lang="en"><head> <link rel=preload href="https://assets.psychcentral.com/_next/vendor-538cd-legacy.js" as=script crossorigin=anonymous><link rel=preload href="https://assets.psychcentral.com/_next/lib-088fe-legacy.js" as=script crossorigin=anonymous><link rel=preload href="https://assets.psychcentral.com/_next/felib-core-db794-legacy.js" as=script crossorigin=anonymous><link rel=preload href="https://assets.psychcentral.com/_next/df9c9d59-e5a4-4741-9ebd-7e59f4aac08c/psy/pages/infinite.js-legacy.js" as=script crossorigin=anonymous> <title>Define ‘a While’: How Long Will a Bipolar Manic Episode Last?</title><link rel="canonical" href="https://psychcentral.com/bipolar/how-long-is-a-typical-bipolar-manic-episode"/><meta name="description" content="Learn how long bipolar disorder mania symptoms can last here."/><meta name="keywords" content="how long do manic episodes last"/><meta name="k1" content="bipolar"/><meta name="k2" content="mentalhealth"/><meta name="ROBOTS" content="NOODP"/><meta name="sailthru.image.thumb" content="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/portrait-serious-nervous-psych-central-732x549-thumbnail.jpg"/><meta name="sailthru.tags" content="bipolar,mentalhealth"/><meta name="article:published_time" content="2010-04-11T12:15:02.000Z"/><meta name="article:author" content="Sian Ferguson"/><meta property="og:title" content="Define ‘a While’: How Long Will a Bipolar Manic Episode Last?"/><meta property="og:description" content="Hang in there, they say. 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Simay Gökbayrak is a licensed clinical psychologist. Her private practice is based in New York City. She provides clinical consulting, teletherapy to adults in California and New York, and is engaged in research. Her interests include science-informed therapies for a variety of mental health challenges, motivation and behavior change science, men’s mental health, and the intersection between mental and physical health.</span></p>\n<p><strong>Education</strong></p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">University of Rhode Island, PhD</span></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New York University, BA</span></li>\n</ul>\n<p><strong>Certifications</strong></p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Licensed Clinical Psychologist</span></li>\n</ul>\n<p><strong>Professional Accomplishments</strong></p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Advanced postdoctoral fellow in schizophrenia research, San Francisco VA Healthcare System</span></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Postdoctoral clinical fellow, mental health service, San Francisco VA Healthcare System</span></li>\n</ul>\n<p><strong>Affiliations</strong></p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https://www.psychologicalscience.org/\"><span style=\"font-weight: 400;\">Association for Psychological Science (APS)</span></a></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https://www.abct.org/\"><span style=\"font-weight: 400;\">Association for Behavioral and Cognitive Therapies (ABCT)</span></a></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https://contextualscience.org/\"><span style=\"font-weight: 400;\">Association for Contextual Behavioral Science (ACBS)</span></a></li>\n</ul>\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.psychcentral.com/wp-content/uploads/2022/01/Simay-Gökbayrak-500x500-Bio.png"}}],"id":"psy-54071","updateReason":[],"editor":"Kristin Currin-Sheehan","factCheckedBy":"","factCheckers":[],"articleHistory":{"2010-04-11":{"updateReason":[],"authors":"John M. 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Last?</h1><div data-preamp="social-proof-lessons"></div><div data-testid="byline"><section data-testid="byline" class="css-eoj89x"><div class="css-1q67gt9"><div class="css-xc63cd"><img src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Simay-Gökbayrak-500x500-Bio.png?w=105&h=105" alt=""/></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/reviewers/n-simay-gokbayrak-phd">N. Simay Gökbayrak, PhD</a></span></span> — <span><span><span><span>Written by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/authors/sian-ferguson">Sian Ferguson</a></span></span></span></span> — <span> Updated on May 13, 2021</span></div></section></div><div><nav id="tab-bar-0" data-testid="tab-bar" class="css-7u7i0a"><ul class="css-17ztj4b"><li class="css-t753mo"><a href="#duration-by-bipolar-disorder-type" class="css-yn6ido">Duration by bipolar disorder type</a></li><li class="css-t753mo"><a href="#degrees-to-mania" class="css-yn6ido">Degrees to mania</a></li><li class="css-t753mo"><a href="#coping-strategies" class="css-yn6ido">Coping strategies</a></li><li class="css-t753mo"><a href="#recap" class="css-yn6ido">Recap</a></li></ul></nav><article class="article-body css-d2znx6 undefined"><div class="css-12va8w7"><span style="font-size:0;line-height:0"></span><span style="font-size:0;line-height:0"></span><div><div><p class="css-w2pt6r">Bipolar disorder includes manic, and sometimes also depressive, episodes. Here’s how long symptoms of mania and its derivatives can last, depending on your type of bipolar disorder. </p></div></div><div><p>People with bipolar disorder experience <a href="https://psychcentral.com/disorders/manic-episode" class="content-link css-150s69f">manic episodes</a>, as well as depressive episodes, of varying lengths. <a href="https://psychcentral.com/disorders/hypomanic-episode-symptoms" class="content-link css-150s69f">Hypomania</a> is different from mania, and a third type of bipolar disorder can manifest with symptoms of hypomania.</p></div><div><div data-preamp="serena-chatbot"></div></div><div><p>When you’re experiencing a manic episode, you may find that you have more energy and an abnormally elevated mood — be it good or irritable. Your inhibitions may also be lowered. You may often struggle to sleep or relax during these episodes. </p></div><div><p>While you can’t predict exactly how long a manic episode will last, remembering that it won’t last forever can help you get through it.</p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline2__slot" data-adbridg-ad-class="inline2__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="duration-by-bipolar-disorder-type">How long will a manic episode last, based on my type of bipolar disorder?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>The length of manic or hypomanic symptoms depends on the <a href="https://www.psychcentral.com/bipolar/types-of-bipolar-disorder" class="content-link css-150s69f">type of bipolar disorder</a> you have, according to the <hl-trusted-source source="National Institute of Mental Health" rationale="Governmental authority"><a href="http://nimh.nih.gov/health/publications/bipolar-disorder/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">National Institute of Mental Health</a></hl-trusted-source>. The length can also vary from person to person. If you’re undergoing treatment, the manic episode might be shorter or less intense. </p></div><div><p>Generally speaking, these are the durations:</p></div><div><div class="scrollTable css-1iwt4bv"><table class="responsive css-nryjrj"><tbody><tr><th scope="col">Condition</th><th scope="col">Description</th><th scope="col">Average span</th></tr><tr><td><strong>Bipolar I</strong></td><td>Manic episodes of varying lengths. It may or may not include depressive episodes.</td><td>Mania lasts 1 week or longer.</td></tr><tr><td><strong>Bipolar II</strong></td><td>Alternating hypomanic (less severe mania in intensity) and depressive episodes of varying lengths.</td><td>Hypomania lasts 4 days or longer.</td></tr><tr><td><strong>Cyclothymia</strong><br>(sigh-clo-thigh-me-uh)</td><td>A chronic but milder form of bipolar disorder. Periods of hypomanic symptoms or depression last for at least 2 years.</td><td>Symptoms of hypomania last hours or days at a time for at least a 2-year span.<br><br></td></tr><tr><td><strong>Mixed episodes</strong></td><td>A condition in which mania and depression occur <a href="https://psychcentral.com/disorders/mixed-episode-symptoms" class="content-link css-150s69f">simultaneously</a>. You may feel hopeless and depressed, yet energetic and motivated to engage in behaviors that may have harmful outcomes.</td><td>Mania lasts 1 week or longer.</td></tr><tr><td><strong>Rapid cycling</strong></td><td>A specifier for bipolar I, II, or cyclothymia. Episodes can cycle <a href="https://www.healthline.com/health/rapid-cycling-bipolar" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">four or more times in a year</a>. It can happen for a time, at any point in the course of your diagnosis.</td><td>Mania lasts 4 days or longer.</td></tr></tbody></table></div></div><div><p class="responsive"><a href="https://psychcentral.com/bipolar/bipolar-disorder-fact-sheet" class="content-link css-150s69f">You can learn all the facts on bipolar disorder here.</a></p></div><span class="css-zya54r"></span></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="degrees-to-mania">Types of bipolar disorder manic episodes</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p class="responsive">As mentioned above, <a href="https://www.psychcentral.com/bipolar/difference-between-bipolar-disorder-1-and-2" class="content-link css-150s69f">symptoms of mania differ by disorder</a>. </p></div><div><p class="responsive">A <a href="https://psychcentral.com/disorders/manic-episode" class="content-link css-150s69f">manic</a> episode is characterized by these outward signs:</p></div><div><ul class="responsive"><li>hyperactivity </li><li>problems sleeping or resting</li><li>rapid speech</li><li>restlessness, fidgeting</li><li>heightened irritability</li><li>extreme happiness and excitement</li></ul></div><div><p class="responsive">During periods of mania, you may make decisions that can result in <a href="https://psychcentral.com/bipolar/spending-sprees-in-bipolar-disorder" class="content-link css-150s69f">long-term consequences</a>. You might also create elaborate plans or start new business ventures. </p></div><div><p class="responsive">The difference between mania and hypomania is that <a href="https://psychcentral.com/disorders/hypomanic-episode-symptoms" class="content-link css-150s69f">hypomania is less intense</a> and shorter in duration.</p></div><div><p class="responsive">Cyclothymia features only symptoms of hypomania, which is why it’s often <a href="https://psychcentral.com/disorders/cyclothymic-disorder-cyclothymia/cyclothymic-disorder-treatment" class="content-link css-150s69f">underdiagnosed and misdiagnosed</a>.</p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline7__slot" data-adbridg-ad-class="inline7__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="coping-strategies">What should I do while I’m waiting to come down?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>If you’re currently experiencing a manic episode, there are a few things you can do.</p></div><div><ul><li><strong>Reach out to your treatment team. </strong>Your doctor, psychiatrist, or therapist can help you navigate your episode. They may recommend that you start or change medication. </li><li><strong>Avoid mind-altering substances like alcohol or recreational drugs.</strong> Becoming intoxicated can <a href="https://psychcentral.com/bipolar/cannabis-bipolar-disorder-symptoms#negative-effects" class="content-link css-150s69f">worsen</a> your manic episode or interfere with your medication management.</li><li><strong>Get plenty of sleep.</strong> It might be hard to <a href="https://www.healthline.com/health/bipolar-disorder/sleep" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">sleep during a manic episode</a>, but try to go to bed and wake up at a regular time. You might find that certain <a href="https://psychcentral.com/lib/14-strategies-for-sleeping-better" class="content-link css-150s69f">sleep hygiene practices</a> help. </li><li><strong>Eat according to a regular schedule.</strong> Hunger can destabilize your mood. Reduce your consumption of caffeine and sugary foods, as these can also affect your mood.</li><li><strong>Spend time with others.</strong> If you attend a support group, this might be helpful. Spending time with people close to you and your condition can help you feel more validated and less isolated.</li><li><strong>Stay consistent with meds. </strong>No matter whether you’re experiencing a manic episode or not, it’s important to consistently take medication that’s been prescribed to you according to your doctor’s directions. Setting a reminder on your phone might help you during episodes.</li></ul></div><span class="css-zya54r"></span></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="recap">Recap</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Experiencing a manic episode can be difficult and stressful. The good news is that, with the help of your therapist and doctor, you can navigate your manic episode well. During manic episodes, it’s important to keep taking your medication and maintaining a regular and healthy schedule.</p></div><div><p>Want to learn more about creating a routine to manage bipolar disorder? <a href="https://psychcentral.com/bipolar/building-a-routine-when-you-have-bipolar-disorder" class="content-link css-150s69f">You can get tips here</a>.</p></div></div></article><span class="css-zya54r"></span></div><div><div class="css-w9ag5x"><div class="css-1xn3edc"><div aria-expanded="false" aria-controls="article-resources" class="css-1l48sh1" role="button"><p class="css-1dxissy"><span class="css-1p6d3md icon-hlvideo-minus"></span><span class="css-1p6d3md icon-hlvideo-plus"></span> <span class="css-1xdhyk6">5 sources</span><span class="sro">collapsed</span></p></div><div id="article-resources" role="region" class="css-1ugaz02"><ul class="css-1vedeqe"><li class="css-f6pdvi"><cite><span>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.</span><br/></cite></li><li class="css-f6pdvi"><cite><span>Bipolar disorder. (2020).<br data-rich-text-line-break="true"></span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.nimh.nih.gov/health/publications/bipolar-disorder/">https://www.nimh.nih.gov/health/publications/bipolar-disorder/</a></cite></li><li class="css-f6pdvi"><cite><span>Dailey MW, et al. (2020). Mania.<br data-rich-text-line-break="true"></span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/books/NBK493168/">https://www.ncbi.nlm.nih.gov/books/NBK493168/</a></cite></li><li class="css-f6pdvi"><cite><span>Fagiolini A, et al. (2015). Diagnosis, epidemiology and management of mixed states in bipolar disorder. DOI:</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://link.springer.com/article/10.1007%2Fs40263-015-0275-6">https://link.springer.com/article/10.1007%2Fs40263-015-0275-6</a></cite></li><li class="css-f6pdvi"><cite><span>I am newly diagnosed with bipolar disorder. (n.d.).<br data-rich-text-line-break="true"></span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://ibpf.org/about-bipolar-disorder/i-am-newly-diagnosed-with-bipolar/">https://ibpf.org/about-bipolar-disorder/i-am-newly-diagnosed-with-bipolar/</a></cite></li></ul></div></div><div class="css-1wkzy2"><div class="css-1ytasfq"><div class="button-wrapper print"><a class="css-1uhtj6l print button icon icon-hl-print" target="_blank" title="Print this page"></a></div><div class="button-wrapper facebook"><a class="css-1uhtj6l facebook button icon icon-hl-facebook" href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fpsychcentral.com%2Fbipolar%2Fhow-long-is-a-typical-bipolar-manic-episode%3Futm_medium%3Dsocial%26utm_source%3Dfacebook%26utm_campaign%3Dsocial-sharebar-referred-desktop" rel="noopener noreferrer nofollow" target="_blank" title="Share on Facebook"></a></div><div class="button-wrapper twitter"><a class="css-1uhtj6l twitter button icon icon-hl-twitter" href="https://twitter.com/intent/tweet?via=PsychCentral&text=Define%20%E2%80%98a%20While%E2%80%99%3A%20How%20Long%20Will%20a%20Bipolar%20Manic%20Episode%20Last%3F&url=https%3A%2F%2Fpsychcentral.com%2Fbipolar%2Fhow-long-is-a-typical-bipolar-manic-episode%3Futm_medium%3Dsocial%26utm_source%3Dtwitter%26utm_campaign%3Dsocial-sharebar-referred-desktop" rel="noopener noreferrer nofollow" target="_blank" title="Share on Twitter"></a></div><div class="button-wrapper pinterest"><a class="css-1uhtj6l pinterest button icon icon-hl-pinterest" href="https://www.pinterest.com/pin/create/button/?media=[object Object]&description=Define%20%E2%80%98a%20While%E2%80%99%3A%20How%20Long%20Will%20a%20Bipolar%20Manic%20Episode%20Last%3F&url=https%3A%2F%2Fpsychcentral.com%2Fbipolar%2Fhow-long-is-a-typical-bipolar-manic-episode%3Futm_medium%3Dsocial%26utm_source%3Dpinterest%26utm_campaign%3Dsocial-sharebar-referred-desktop" rel="noopener noreferrer nofollow" target="_blank" title="Share on Pinterest" data-pin-custom="true" data-pin-do="buttonPin" data-pin-href="https://www.pinterest.com/pin/create/button/?media=[object Object]&description=Define%20%E2%80%98a%20While%E2%80%99%3A%20How%20Long%20Will%20a%20Bipolar%20Manic%20Episode%20Last%3F&url=https%3A%2F%2Fpsychcentral.com%2Fbipolar%2Fhow-long-is-a-typical-bipolar-manic-episode%3Futm_medium%3Dsocial%26utm_source%3Dpinterest%26utm_campaign%3Dsocial-sharebar-referred-desktop" media="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/portrait-serious-nervous-psych-central-732x549-thumbnail.jpg"></a></div></div><div class="css-16qwkyr"><a class="css-f2a5qb">FEEDBACK:</a><a class="css-1uhtj6l icon icon-hl-frown"></a><a class="css-1uhtj6l icon icon-hl-smile"></a></div></div></div></div><span class="css-zya54r"></span></div><section style="position:relative;margin-top:0" class="css-82r5pg"><div class="css-dorrmn"><div class="css-nsibzi"><div data-testid="byline"><section data-testid="byline" class="css-1bvbwhk"><div class="css-1q67gt9"><div class="css-xc63cd"><img src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Simay-Gökbayrak-500x500-Bio.png?w=105&h=105" alt=""/></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/reviewers/n-simay-gokbayrak-phd">N. Simay Gökbayrak, PhD</a></span></span> — <span><span><span><span>Written by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/authors/sian-ferguson">Sian Ferguson</a></span></span></span></span> — <span> Updated on May 13, 2021</span></div></section></div></div></div><span class="css-zya54r"></span><div data-empty="true" class="css-1d8h8gm"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="DMR1__slot" data-adbridg-ad-class="DMR1" data-ad="true" class="css-488q2e"></div></div><div class="css-h9jo37" data-dynamic-ads="true"><object type="text/html" data="about:blank" aria-label="advertisement" class="css-7vynax"></object></div></section></div></div></div><aside></aside><span style="font-size:0;line-height:0"></span><div><div id="read-next" class=" css-10ib5jr"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-z468a2"><h3 class="css-sw6lgt">Read this next</h3></div><section class="css-82r5pg"></section></div></div><ul 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class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Nicole-Washington-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Nicole Washington, DO, MPH</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/bipolar/medications-for-mania-and-manic-depression;engagement|bottom page content promo click index|1" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Medications for Bipolar Disorder|rn0" href="https://www.psychcentral.com/bipolar/medications-for-mania-and-manic-depression?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">If you’re living with bipolar disorder, taking certain medications can help stabilize your 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href="https://www.psychcentral.com/blog/podcast-hypersexuality-with-a-bipolar-and-schizophrenic?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Podcast: Hypersexuality with a Bipolar and Schizophrenic</a><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/blog/podcast-hypersexuality-with-a-bipolar-and-schizophrenic;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Podcast: Hypersexuality with a Bipolar and Schizophrenic|rn1" href="https://www.psychcentral.com/blog/podcast-hypersexuality-with-a-bipolar-and-schizophrenic?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Hypersexuality is a very common symptom of bipolar mania and a potential symptom of schizophrenia. However, there is one thing that they agree on. . …</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/blog/podcast-hypersexuality-with-a-bipolar-and-schizophrenic;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Podcast: Hypersexuality with a Bipolar and Schizophrenic|rn1" href="https://www.psychcentral.com/blog/podcast-hypersexuality-with-a-bipolar-and-schizophrenic?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/bipolar/spending-sprees-in-bipolar-disorder;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Why Bipolar Disorder Mania Makes you Overspend (& How to Recover)|rn2" href="https://www.psychcentral.com/bipolar/spending-sprees-in-bipolar-disorder?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Why Bipolar Disorder Mania Makes you Overspend (& How to Recover)" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/PC-Credit-Card-Hand-Anonymous-732x549-Thumbnail.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/PC-Credit-Card-Hand-Anonymous-732x549-Thumbnail.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/bipolar/spending-sprees-in-bipolar-disorder;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Why Bipolar Disorder Mania Makes you Overspend (& How to Recover)|rn2" href="https://www.psychcentral.com/bipolar/spending-sprees-in-bipolar-disorder?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Why Bipolar Disorder Mania Makes you Overspend (& How to Recover)</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Vara-Saripalli-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Vara Saripalli, Psy.D.</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/bipolar/spending-sprees-in-bipolar-disorder;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Why Bipolar Disorder Mania Makes you Overspend (& How to Recover)|rn2" href="https://www.psychcentral.com/bipolar/spending-sprees-in-bipolar-disorder?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">During a manic episode of bipolar disorder, shopping sprees occur for many folks. Learn what clinical symptoms fuel spending sprees, plus what to do…</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/bipolar/spending-sprees-in-bipolar-disorder;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Why Bipolar Disorder Mania Makes you Overspend (& How to Recover)|rn2" href="https://www.psychcentral.com/bipolar/spending-sprees-in-bipolar-disorder?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"><div data-empty="true" class="css-vhteyv"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="DCMR2__slot" data-adbridg-ad-class="DCMR2" data-ad="true" class="css-prb4v6"></div></div></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/blog/older-bipolar/2020/01/hypochondria-and-bipolar-disorder;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Hypochondria and Bipolar Disorder|rn3" href="https://www.psychcentral.com/blog/older-bipolar/2020/01/hypochondria-and-bipolar-disorder?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Hypochondria and Bipolar Disorder" src="https://media.post.rvohealth.io/wp-content/uploads/2024/03/HL_Generic-Thumb.jpeg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2024/03/HL_Generic-Thumb.jpeg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/blog/older-bipolar/2020/01/hypochondria-and-bipolar-disorder;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Hypochondria and Bipolar Disorder|rn3" href="https://www.psychcentral.com/blog/older-bipolar/2020/01/hypochondria-and-bipolar-disorder?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Hypochondria and Bipolar Disorder</a><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/blog/older-bipolar/2020/01/hypochondria-and-bipolar-disorder;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Hypochondria and Bipolar Disorder|rn3" href="https://www.psychcentral.com/blog/older-bipolar/2020/01/hypochondria-and-bipolar-disorder?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Its difficult enough dealing with episodes of depression, mania and hypomania. Its made even worse when imagin</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/blog/older-bipolar/2020/01/hypochondria-and-bipolar-disorder;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Hypochondria and Bipolar Disorder|rn3" href="https://www.psychcentral.com/blog/older-bipolar/2020/01/hypochondria-and-bipolar-disorder?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/bipolar/substance-abuse-and-bipolar-disorder;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Substance Use and Bipolar Disorder|rn4" href="https://www.psychcentral.com/bipolar/substance-abuse-and-bipolar-disorder?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="All About Substance Use and Bipolar Disorder" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/07/senior-adult-man-against-wall-looking-sideways-732x549-thumbnail-1-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/07/senior-adult-man-against-wall-looking-sideways-732x549-thumbnail-1-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/bipolar/substance-abuse-and-bipolar-disorder;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Substance Use and Bipolar Disorder|rn4" href="https://www.psychcentral.com/bipolar/substance-abuse-and-bipolar-disorder?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">All About Substance Use and Bipolar Disorder</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Nicole-Washington-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Nicole Washington, DO, MPH</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/bipolar/substance-abuse-and-bipolar-disorder;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Substance Use and Bipolar Disorder|rn4" href="https://www.psychcentral.com/bipolar/substance-abuse-and-bipolar-disorder?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Many times when we hear of someone with bipolar disorder, alcohol or drugs are mentioned in the same breath. Does one cause the other?</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/bipolar/substance-abuse-and-bipolar-disorder;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Substance Use and Bipolar Disorder|rn4" href="https://www.psychcentral.com/bipolar/substance-abuse-and-bipolar-disorder?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/bipolar/phases-of-bipolar-disorder;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Phases of Bipolar Disorder|rn5" href="https://www.psychcentral.com/bipolar/phases-of-bipolar-disorder?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Phases of Bipolar Disorder" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/06/young-woman-full-moon-anonymous-732x549-thumbnail.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/06/young-woman-full-moon-anonymous-732x549-thumbnail.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/bipolar/phases-of-bipolar-disorder;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Phases of Bipolar Disorder|rn5" href="https://www.psychcentral.com/bipolar/phases-of-bipolar-disorder?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Phases of Bipolar Disorder</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Joslyn-Jelinek-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Joslyn Jelinek, LCSW, ACSW, RDDP</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/bipolar/phases-of-bipolar-disorder;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Phases of Bipolar Disorder|rn5" href="https://www.psychcentral.com/bipolar/phases-of-bipolar-disorder?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Bipolar disorder can occur in phases and each phase has its own unique set of symptoms. Here's how to recognize each one.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/bipolar/phases-of-bipolar-disorder;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Phases of Bipolar Disorder|rn5" href="https://www.psychcentral.com/bipolar/phases-of-bipolar-disorder?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/bipolar/bipolar-disorder-and-weight-gain;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Bipolar Disorder and Weight Gain|rn6" href="https://www.psychcentral.com/bipolar/bipolar-disorder-and-weight-gain?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Bipolar Disorder and Weight Gain" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2022/06/geometric-shape-looking-at-reflection-in-mirror-732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2022/06/geometric-shape-looking-at-reflection-in-mirror-732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/bipolar/bipolar-disorder-and-weight-gain;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Bipolar Disorder and Weight Gain|rn6" href="https://www.psychcentral.com/bipolar/bipolar-disorder-and-weight-gain?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Bipolar Disorder and Weight Gain</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Marney-White-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Marney A. White, PhD, MS</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/bipolar/bipolar-disorder-and-weight-gain;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Bipolar Disorder and Weight Gain|rn6" href="https://www.psychcentral.com/bipolar/bipolar-disorder-and-weight-gain?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Do medications for bipolar disorder cause weight gain or are metabolism differences part of condition itself?</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/bipolar/bipolar-disorder-and-weight-gain;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Bipolar Disorder and Weight Gain|rn6" href="https://www.psychcentral.com/bipolar/bipolar-disorder-and-weight-gain?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/bipolar/mood-stabilizers-for-bipolar-disorder;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Mood Stabilizers for Bipolar Disorder|rn7" href="https://www.psychcentral.com/bipolar/mood-stabilizers-for-bipolar-disorder?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="All About Mood Stabilizers for Bipolar Disorder" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/08/young-woman-happy-smiling-sitting-sunny-day-yellow-wall-732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/08/young-woman-happy-smiling-sitting-sunny-day-yellow-wall-732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/bipolar/mood-stabilizers-for-bipolar-disorder;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Mood Stabilizers for Bipolar Disorder|rn7" href="https://www.psychcentral.com/bipolar/mood-stabilizers-for-bipolar-disorder?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">All About Mood Stabilizers for Bipolar Disorder</a><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/bipolar/mood-stabilizers-for-bipolar-disorder;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Mood Stabilizers for Bipolar Disorder|rn7" href="https://www.psychcentral.com/bipolar/mood-stabilizers-for-bipolar-disorder?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">If you've received a bipolar disorder diagnosis or were just prescribed a new medication, you may wonder what mood stabilizers are and if they have…</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/bipolar/mood-stabilizers-for-bipolar-disorder;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Mood Stabilizers for Bipolar Disorder|rn7" href="https://www.psychcentral.com/bipolar/mood-stabilizers-for-bipolar-disorder?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/blog/bipolar-laid-bare/2016/11/making-decisions-with-bipolar-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Making Decisions with Bipolar Disorder|rn8" href="https://www.psychcentral.com/blog/bipolar-laid-bare/2016/11/making-decisions-with-bipolar-disorder?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Making Decisions with Bipolar Disorder" src="https://media.post.rvohealth.io/wp-content/uploads/2024/03/HL_Generic-Thumb.jpeg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2024/03/HL_Generic-Thumb.jpeg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/blog/bipolar-laid-bare/2016/11/making-decisions-with-bipolar-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Making Decisions with Bipolar Disorder|rn8" href="https://www.psychcentral.com/blog/bipolar-laid-bare/2016/11/making-decisions-with-bipolar-disorder?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Making Decisions with Bipolar Disorder</a><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/blog/bipolar-laid-bare/2016/11/making-decisions-with-bipolar-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Making Decisions with Bipolar Disorder|rn8" href="https://www.psychcentral.com/blog/bipolar-laid-bare/2016/11/making-decisions-with-bipolar-disorder?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Decision making ability in people with bipolar disorder depends on whether the person is manic, depressed or 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LCSW</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/bipolar/the-challenges-of-bipolar-disorder-delusions;engagement|bottom page content promo click index|10" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|The Challenges of Bipolar Disorder and Delusions|rn9" href="https://www.psychcentral.com/bipolar/the-challenges-of-bipolar-disorder-delusions?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Bipolar disorder psychosis can occur during episodes of mania or depression. 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</script><script src="https://rvo-cohesion.psychcentral.com/cohesion/cohesion-tpo.min.js?cDomain=psychcentral.com" async=""></script><link href="https://c.aps.amazon-adsystem.com" rel="preconnect" crossorigin="true"/><script src="https://c.aps.amazon-adsystem.com/apstag.js" async=""></script><script>module={};__NEXT_DATA__={"buildId":"df9c9d59-e5a4-4741-9ebd-7e59f4aac08c","props":{"ga":{"k1":"bipolar","k2":"mentalhealth","kmeta":"vraylar24bp","contentType":"Tabbed Article","author":"Sian Ferguson","articleType":"regular","sponsoredProgramId":"","articleId":"psy-54071","mainContentCategoryTags":"","publishedDate":"2021-05-13","updatedDate":"2022-05-23","medReviewer":"N. 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She’s passionate about empowering readers to take care of their mental…"]}}],"medicalReviewers":[{"id":5069,"name":{"display":"N. Simay Gökbayrak, PhD","first":"N. Simay","last":"Gökbayrak, PhD"},"userLogin":"sgokbayrak","links":{"website":"http://www.drsimay.com","facebook":"","linkedin":"https://www.linkedin.com/in/n-simay-gkbayrak-phd-aa1b124/","twitter":"","instagram":"","tiktok":""},"link":"/reviewers/n-simay-gokbayrak-phd","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164776","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003e\u003cem\u003eThis individual is no longer a medical reviewer in our network. The credentials and contact information reflected here may not be current.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eDr. N. Simay Gökbayrak is a licensed clinical psychologist. Her private practice is based in New York City. She provides clinical consulting, teletherapy to adults in California and New York, and is engaged in research. Her interests include science-informed therapies for a variety of mental health challenges, motivation and behavior change science, men’s mental health, and the intersection between mental and physical health.\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEducation\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eUniversity of Rhode Island, PhD\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eNew York University, BA\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eCertifications\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eLicensed Clinical Psychologist\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eProfessional Accomplishments\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAdvanced postdoctoral fellow in schizophrenia research, San Francisco VA Healthcare System\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003ePostdoctoral clinical fellow, mental health service, San Francisco VA Healthcare System\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eAffiliations\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.psychologicalscience.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAssociation for Psychological Science (APS)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.abct.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAssociation for Behavioral and Cognitive Therapies (ABCT)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://contextualscience.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAssociation for Contextual Behavioral Science (ACBS)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003c/ul\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.psychcentral.com/wp-content/uploads/2022/01/Simay-Gökbayrak-500x500-Bio.png"},"bioBlurb":{"nodes":["This individual is no longer a medical reviewer in our network. The credentials and contact information reflected here may not be current. Dr. N. Simay…"]}}],"editors":[{"role":"Editor","name":{"display":"Kristin Currin-Sheehan"}}],"pinterestImage":{"path":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/portrait-serious-nervous-psych-central-732x549-thumbnail.jpg"},"hideFeedback":false,"isMedicare":false,"isBlog":false,"publishSource":"wordpress","isAmpSupported":false,"categories":[{"name":"Uncategorized","slug":"uncategorized","link":"/uncategorized","children":[]},{"name":"blog","slug":"blog","link":"/blog","children":[]}],"language":{"en":"https://psychcentral.com/bipolar/how-long-is-a-typical-bipolar-manic-episode/","x-default":"https://psychcentral.com/bipolar/how-long-is-a-typical-bipolar-manic-episode/","current":"en"},"lang":"en","links":[],"colorScheme":"default","isContentSeries":false,"brandCTAs":[],"clusterNavLinks":[],"clusterUrls":[],"clusterLinks":{},"pathingTilesData":{},"pathingCardsData":{},"inArticlePathingCardsData":[],"quantitativeTrustData":{},"isPrependRecipeH2":false,"recipes":[],"hideTabs":false,"tabs":[{"id":"_noHeaderPrefixedContent","title":null,"header":null,"body":[{"tagName":"div","source":"\u003cp class=\"css-w2pt6r\"\u003eBipolar disorder includes manic, and sometimes also depressive, episodes. Here’s how long symptoms of mania and its derivatives can last, depending on your type of bipolar disorder. \u003c/p\u003e"},{"tagName":"p","source":"People with bipolar disorder experience \u003ca href=\"https://psychcentral.com/disorders/manic-episode\" class=\"content-link css-150s69f\"\u003emanic episodes\u003c/a\u003e, as well as depressive episodes, of varying lengths. \u003ca href=\"https://psychcentral.com/disorders/hypomanic-episode-symptoms\" class=\"content-link css-150s69f\"\u003eHypomania\u003c/a\u003e is different from mania, and a third type of bipolar disorder can manifest with symptoms of hypomania."},{"tagName":"div","attributes":{"data-preamp":"serena-chatbot"},"source":""},{"tagName":"p","source":"When you’re experiencing a manic episode, you may find that you have more energy and an abnormally elevated mood — be it good or irritable. Your inhibitions may also be lowered. You may often struggle to sleep or relax during these episodes. "},{"tagName":"p","source":"While you can’t predict exactly how long a manic episode will last, remembering that it won’t last forever can help you get through it."}]},{"id":"duration-by-bipolar-disorder-type","title":"Duration by bipolar disorder type","isCollapsable":false,"header":["How long will a manic episode last, based on my type of bipolar disorder?"],"body":[{"tagName":"p","source":"The length of manic or hypomanic symptoms depends on the \u003ca href=\"https://www.psychcentral.com/bipolar/types-of-bipolar-disorder\" class=\"content-link css-150s69f\"\u003etype of bipolar disorder\u003c/a\u003e you have, according to the \u003chl-trusted-source source=\"National Institute of Mental Health\" rationale=\"Governmental authority\"\u003e\u003ca href=\"http://nimh.nih.gov/health/publications/bipolar-disorder/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eNational Institute of Mental Health\u003c/a\u003e\u003c/hl-trusted-source\u003e. The length can also vary from person to person. If you’re undergoing treatment, the manic episode might be shorter or less intense. "},{"tagName":"p","source":"Generally speaking, these are the durations:"},{"tagName":"div","attributes":{"className":"scrollTable css-1iwt4bv"},"source":"\u003ctable class=\"responsive css-nryjrj\"\u003e\u003ctbody\u003e\u003ctr\u003e\u003cth scope=\"col\"\u003eCondition\u003c/th\u003e\u003cth scope=\"col\"\u003eDescription\u003c/th\u003e\u003cth scope=\"col\"\u003eAverage span\u003c/th\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003cstrong\u003eBipolar I\u003c/strong\u003e\u003c/td\u003e\u003ctd\u003eManic episodes of varying lengths. It may or may not include depressive episodes.\u003c/td\u003e\u003ctd\u003eMania lasts 1 week or longer.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003cstrong\u003eBipolar II\u003c/strong\u003e\u003c/td\u003e\u003ctd\u003eAlternating hypomanic (less severe mania in intensity) and depressive episodes of varying lengths.\u003c/td\u003e\u003ctd\u003eHypomania lasts 4 days or longer.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003cstrong\u003eCyclothymia\u003c/strong\u003e\u003cbr\u003e(sigh-clo-thigh-me-uh)\u003c/td\u003e\u003ctd\u003eA chronic but milder form of bipolar disorder. Periods of hypomanic symptoms or depression last for at least 2 years.\u003c/td\u003e\u003ctd\u003eSymptoms of hypomania last hours or days at a time for at least a 2-year span.\u003cbr\u003e\u003cbr\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003cstrong\u003eMixed episodes\u003c/strong\u003e\u003c/td\u003e\u003ctd\u003eA condition in which mania and depression occur \u003ca href=\"https://psychcentral.com/disorders/mixed-episode-symptoms\" class=\"content-link css-150s69f\"\u003esimultaneously\u003c/a\u003e. You may feel hopeless and depressed, yet energetic and motivated to engage in behaviors that may have harmful outcomes.\u003c/td\u003e\u003ctd\u003eMania lasts 1 week or longer.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003cstrong\u003eRapid cycling\u003c/strong\u003e\u003c/td\u003e\u003ctd\u003eA specifier for bipolar I, II, or cyclothymia. Episodes can cycle \u003ca href=\"https://www.healthline.com/health/rapid-cycling-bipolar\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003efour or more times in a year\u003c/a\u003e. It can happen for a time, at any point in the course of your diagnosis.\u003c/td\u003e\u003ctd\u003eMania lasts 4 days or longer.\u003c/td\u003e\u003c/tr\u003e\u003c/tbody\u003e\u003c/table\u003e"},{"tagName":"p","attributes":{"className":"responsive"},"source":"\u003ca href=\"https://psychcentral.com/bipolar/bipolar-disorder-fact-sheet\" class=\"content-link css-150s69f\"\u003eYou can learn all the facts on bipolar disorder here.\u003c/a\u003e"}]},{"id":"degrees-to-mania","title":"Degrees to mania","isCollapsable":false,"header":["Types of bipolar disorder manic episodes"],"body":[{"tagName":"p","attributes":{"className":"responsive"},"source":"As mentioned above, \u003ca href=\"https://www.psychcentral.com/bipolar/difference-between-bipolar-disorder-1-and-2\" class=\"content-link css-150s69f\"\u003esymptoms of mania differ by disorder\u003c/a\u003e. "},{"tagName":"p","attributes":{"className":"responsive"},"source":"A \u003ca href=\"https://psychcentral.com/disorders/manic-episode\" class=\"content-link css-150s69f\"\u003emanic\u003c/a\u003e episode is characterized by these outward signs:"},{"tagName":"ul","attributes":{"className":"responsive"},"source":"\u003cli\u003ehyperactivity \u003c/li\u003e\u003cli\u003eproblems sleeping or resting\u003c/li\u003e\u003cli\u003erapid speech\u003c/li\u003e\u003cli\u003erestlessness, fidgeting\u003c/li\u003e\u003cli\u003eheightened irritability\u003c/li\u003e\u003cli\u003eextreme happiness and excitement\u003c/li\u003e"},{"tagName":"p","attributes":{"className":"responsive"},"source":"During periods of mania, you may make decisions that can result in \u003ca href=\"https://psychcentral.com/bipolar/spending-sprees-in-bipolar-disorder\" class=\"content-link css-150s69f\"\u003elong-term consequences\u003c/a\u003e. You might also create elaborate plans or start new business ventures. "},{"tagName":"p","attributes":{"className":"responsive"},"source":"The difference between mania and hypomania is that \u003ca href=\"https://psychcentral.com/disorders/hypomanic-episode-symptoms\" class=\"content-link css-150s69f\"\u003ehypomania is less intense\u003c/a\u003e and shorter in duration."},{"tagName":"p","attributes":{"className":"responsive"},"source":"Cyclothymia features only symptoms of hypomania, which is why it’s often \u003ca href=\"https://psychcentral.com/disorders/cyclothymic-disorder-cyclothymia/cyclothymic-disorder-treatment\" class=\"content-link css-150s69f\"\u003eunderdiagnosed and misdiagnosed\u003c/a\u003e."}]},{"id":"coping-strategies","title":"Coping strategies","isCollapsable":false,"header":["What should I do while I’m waiting to come down?"],"body":[{"tagName":"p","source":"If you’re currently experiencing a manic episode, there are a few things you can do."},{"tagName":"ul","source":"\u003cli\u003e\u003cstrong\u003eReach out to your treatment team. \u003c/strong\u003eYour doctor, psychiatrist, or therapist can help you navigate your episode. They may recommend that you start or change medication. \u003c/li\u003e\u003cli\u003e\u003cstrong\u003eAvoid mind-altering substances like alcohol or recreational drugs.\u003c/strong\u003e Becoming intoxicated can \u003ca href=\"https://psychcentral.com/bipolar/cannabis-bipolar-disorder-symptoms#negative-effects\" class=\"content-link css-150s69f\"\u003eworsen\u003c/a\u003e your manic episode or interfere with your medication management.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eGet plenty of sleep.\u003c/strong\u003e It might be hard to \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/sleep\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003esleep during a manic episode\u003c/a\u003e, but try to go to bed and wake up at a regular time. You might find that certain \u003ca href=\"https://psychcentral.com/lib/14-strategies-for-sleeping-better\" class=\"content-link css-150s69f\"\u003esleep hygiene practices\u003c/a\u003e help. \u003c/li\u003e\u003cli\u003e\u003cstrong\u003eEat according to a regular schedule.\u003c/strong\u003e Hunger can destabilize your mood. Reduce your consumption of caffeine and sugary foods, as these can also affect your mood.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eSpend time with others.\u003c/strong\u003e If you attend a support group, this might be helpful. Spending time with people close to you and your condition can help you feel more validated and less isolated.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eStay consistent with meds. \u003c/strong\u003eNo matter whether you’re experiencing a manic episode or not, it’s important to consistently take medication that’s been prescribed to you according to your doctor’s directions. Setting a reminder on your phone might help you during episodes.\u003c/li\u003e"}]},{"id":"recap","title":"Recap","isCollapsable":false,"header":["Recap"],"body":[{"tagName":"p","source":"Experiencing a manic episode can be difficult and stressful. The good news is that, with the help of your therapist and doctor, you can navigate your manic episode well. During manic episodes, it’s important to keep taking your medication and maintaining a regular and healthy schedule."},{"tagName":"p","source":"Want to learn more about creating a routine to manage bipolar disorder? \u003ca href=\"https://psychcentral.com/bipolar/building-a-routine-when-you-have-bipolar-disorder\" class=\"content-link css-150s69f\"\u003eYou can get tips here\u003c/a\u003e."}]}],"hasAffiliateLinks":false,"affiliates":[],"propsFor":{"articleResources":[{"title":{"tagName":"span","source":"American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association."}},{"displayLink":"nimh.nih.gov/health/publications/bipolar-disorder/","link":"https://www.nimh.nih.gov/health/publications/bipolar-disorder/","title":{"tagName":"span","source":"Bipolar disorder. (2020).\u003cbr data-rich-text-line-break=\"true\"\u003e"}},{"displayLink":"ncbi.nlm.nih.gov/books/NBK493168/","link":"https://www.ncbi.nlm.nih.gov/books/NBK493168/","title":{"tagName":"span","source":"Dailey MW, et al. (2020). Mania.\u003cbr data-rich-text-line-break=\"true\"\u003e"}},{"displayLink":"10.1007/s40263-015-0275-6","link":"https://link.springer.com/article/10.1007%2Fs40263-015-0275-6","title":{"tagName":"span","source":"Fagiolini A, et al. (2015). Diagnosis, epidemiology and management of mixed states in bipolar disorder. DOI:"}},{"displayLink":"ibpf.org/about-bipolar-disorder/i-am-newly-diagnosed-with-bipolar/","link":"https://ibpf.org/about-bipolar-disorder/i-am-newly-diagnosed-with-bipolar/","title":{"tagName":"span","source":"I am newly diagnosed with bipolar disorder. (n.d.).\u003cbr data-rich-text-line-break=\"true\"\u003e"}}],"byline":{"authors":[{"id":212,"name":{"display":"Sian Ferguson","first":"Sian","last":"Ferguson"},"link":"/authors/sian-ferguson","type":{"value":"author","label":"Author"},"nid":"156019","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eSian Ferguson is a freelance health and cannabis writer based in Cape Town, South Africa. She\u0026#8217;s passionate about empowering readers to take care of their mental and physical health through science-based, empathetically delivered information.\u003c/p\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/07/500x500_Sian_Ferguson_Mug.png"}}],"medicalReviewers":[{"id":5069,"name":{"display":"N. Simay Gökbayrak, PhD","first":"N. Simay","last":"Gökbayrak, PhD"},"userLogin":"sgokbayrak","links":{"website":"http://www.drsimay.com","facebook":"","linkedin":"https://www.linkedin.com/in/n-simay-gkbayrak-phd-aa1b124/","twitter":"","instagram":"","tiktok":""},"link":"/reviewers/n-simay-gokbayrak-phd","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164776","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003e\u003cem\u003eThis individual is no longer a medical reviewer in our network. The credentials and contact information reflected here may not be current.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eDr. N. Simay Gökbayrak is a licensed clinical psychologist. Her private practice is based in New York City. She provides clinical consulting, teletherapy to adults in California and New York, and is engaged in research. 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